Drugs / Homoharringtonine
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Homoharringtonine

Small molecule targets BCL2, MCL1 via inhibition

Developed for
acute myeloid leukemia · chronic myeloid leukemia · leukemia · myelodysplastic syndrome · prostate cancer · T lymphoblastic leukemia/lymphoma · acute erythroid leukemia · acute myeloid leukemia, FLT3 internal tandem duplication
+27 more · acute biphenotypic leukemia · acute leukemia · acute megakaryoblastic leukemia in adult · acute myeloblastic leukemia with maturation · acute myeloblastic leukemia without maturation · acute myeloid leukemia with 11q23 abnormalities · acute myeloid leukemia with abnormal bone marrow eosinophils inv(16)(p13q22) or t(16;16)(p13;q22) · acute myeloid leukemia with minimal differentiation · acute myeloid leukemia with multilineage dysplasia · acute myeloid leukemia with t(8;21)(q22;q22) translocation · acute myeloid leukemia, biallelic CEBPA gene mutation · acute myeloid leukemia, del(5q31-q32) · acute myeloid leukemia, t(16;16)(p13.1;q22) · acute myelomonocytic leukemia M4 · adult acute monocytic leukemia · blast phase chronic myelogenous leukemia, BCR-ABL1 positive · childhood acute lymphoblastic leukemia · childhood acute myeloid leukemia · chronic myelomonocytic leukemia · diffuse large B-cell lymphoma · early T cell progenitor acute lymphoblastic leukemia · juvenile myelomonocytic leukemia · leukemia, myeloid, accelerated-phase · mixed phenotype acute leukemia · mixed phenotype acute leukemia,T/myeloid · myeloid leukemia · T-cell acute lymphoblastic leukemia
Investigated by
First Affiliated Hospital of Zhejiang University · National Cancer Institute (NCI) · The First Affiliated Hospital of Soochow University · Institute of Hematology & Blood Diseases Hospital, China · Shenzhen Second People's Hospital · Nanfang Hospital, Southern Medical University
+89 more · Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · Teva Branded Pharmaceutical Products R&D, Inc. · Changzhou No.2 People's Hospital · ChemGenex Pharmaceuticals · Dongguan People's Hospital · First Affiliated Hospital of Guangxi Medical University · Shenzhen Hospital of Southern Medical University · The Second People's Hospital of Huai'an · Zhongshan People's Hospital, Guangdong, China · Cephalon · First People's Hospital of Chenzhou · Guangdong Second Provincial General Hospital · Guangzhou First People's Hospital · Jingjiang People's Hospital · M.D. Anderson Cancer Center · Peking University Shenzhen Hospital · Second Affiliated Hospital of Soochow University · Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · The Affiliated Hospital of Qingdao University · The First Affiliated Hospital with Nanjing Medical University · The First People Hospital of Nantong City · The First People's Hospital of Lianyungang · The Seventh Affiliated Hospital of Sun Yat-sen University · The Third People's Hospital of Kunshan · The University of Hong Kong · Zhangjiagang First People's Hospital · baotai Liang · AbbVie · Affiliated Hospital of Guangdong Medical University · Affiliated Hospital of Jiaxing University · Air Force Military Medical University, China · Alliance for Clinical Trials in Oncology · Ascentage Pharma Group Inc. · Children's Hospital of Hebei Province · Children's Hospital of Soochow University · Chinese PLA General Hospital · Dongyang People's Hospital · First Affiliated Hospital of Gannan Medical University · First People's Hospital of Foshan · First People's Hospital of Hangzhou · Ganzhou City People's Hospital · Ge Zheng · Guangdong Provincial Hospital of Traditional Chinese Medicine · Henan Cancer Hospital · Huai'an First People's Hospital · Huizhou Municipal Central Hospital · Hunan Provincial People's Hospital · Huzhou Central Hospital · Jiangmen Central Hospital · Jinhua Central Hospital · Jinhua People's Hospital · Maoming People's Hospital · Navy General Hospital, Beijing · Ningbo Medical Center Lihuili Hospital · People's Hospital of Guangxi Zhuang Autonomous Region · Qilu Hospital of Shandong University · Roswell Park Cancer Institute · Ruijin Hospital · Second Affiliated Hospital of Wenzhou Medical University · Second Affiliated Hospital, School of Medicine, Zhejiang University · Shandong Provincial Hospital · Shanghai Jiao Tong University School of Medicine · Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine · Shaoxing People's Hospital · Shaoxing Second Hospital · Shenzhen People's Hospital · Southern Medical University, China · Subei People's Hospital of Jiangsu Province · Suzhou Yasheng Pharmaceutical Co., Ltd. · Taian City Central Hospital · Taizhou Hospital · Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University · Teva Pharmaceutical Industries, Ltd. · The Affiliated Hospital of Xuzhou Medical University · all 95 on the full record

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) SYNRIBO 2014-02-10 fda.gov
Approved US (FDA) SYNRIBO 2012-10-26 fda.gov

Trials 58 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT07516704 Apr 2026 → Dec 2027 expected prostate cancer Zhongda Hospital Not yet recruiting No outcome recorded
Phase 11 trial
Phase 1 NCT01844869 Jul 2013 → Dec 2014 cancer, hematopoietic and lymphoid system neoplasm Teva Branded Pharmaceutical Products R&D, Inc. Completed No outcome recorded
Phase 1/27 trials
Phase 1/2 NCT07159906 Sep 2025 → Aug 2027 expected diffuse large B-cell lymphoma First Affiliated Hospital of Zhejiang University Not yet recruiting No outcome recorded
Phase 1/2 NCT05584761 Mar 2022 → Dec 2026 expected acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome The First Affiliated Hospital with Nanjing Medical University Recruiting No outcome recorded
Phase 1/2 NCT04874194 Dec 2021 → Sep 2024 acute biphenotypic leukemia, myelodysplastic syndrome M.D. Anderson Cancer Center Terminated No outcome recorded
Phase 1/2 NCT04501120 Sep 2020 → Sep 2028 expected acute myeloid leukemia Ascentage Pharma Group Inc. Recruiting No outcome recorded
Phase 1/2 NCT03453255 Jan 2018 → Dec 2019 Chinese PLA General Hospital Unknown No outcome recorded
Phase 1/2 NCT02078960 Oct 2014 → Jul 2017 chronic myeloid leukemia Teva Branded Pharmaceutical Products R&D, Inc. Terminated No outcome recorded
Phase 1/2 NCT00030355 leukemia National Cancer Institute (NCI) Withdrawn No outcome recorded
Phase 230 trials
Phase 2 NCT07643636 Jun 2026 → Jun 2028 expected acute myeloid leukemia Dongguan People's Hospital Not yet recruiting No outcome recorded
Phase 2 NCT07517510 Apr → Dec 2026 expected mixed phenotype acute leukemia Guangdong Second Provincial General Hospital Enrolling by invitation No outcome recorded
Phase 2 NCT07507825 Mar 2026 → Mar 2028 expected acute myeloid leukemia First People's Hospital of Hangzhou Not yet recruiting No outcome recorded
Phase 2 NCT07505160 Mar 2026 → Mar 2028 expected acute myeloid leukemia Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 2 NCT07172204 Sep 2025 → Jul 2027 expected acute myeloid leukemia First Affiliated Hospital of Zhejiang University Recruiting No outcome recorded
Phase 2 NCT07091006 Aug 2025 → May 2028 expected acute leukemia Ruijin Hospital Not yet recruiting No outcome recorded
Phase 2 NCT07163910 Apr 2025 → Sep 2027 expected prostate cancer baotai Liang Recruiting No outcome recorded
Phase 2 NCT06834321 Mar 2025 → Sep 2026 expected prostate cancer baotai Liang Recruiting No outcome recorded
Phase 2 NCT06744556 Jan 2025 → Dec 2027 expected acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Active not recruiting No outcome recorded
Phase 2 NCT06742463 Dec 2024 → Jun 2026 overdue T lymphoblastic leukemia/lymphoma First Affiliated Hospital of Zhejiang University Recruiting No outcome recorded
Phase 2/35 trials
Phase 2/3 NCT07651163 Mar 2026 → Dec 2029 expected acute myeloid leukemia First Affiliated Hospital of Zhejiang University Enrolling by invitation No outcome recorded
Phase 2/3 NCT07651176 Mar 2026 → Dec 2029 expected acute myeloid leukemia First Affiliated Hospital of Zhejiang University Enrolling by invitation No outcome recorded
Phase 2/3 NCT06855810 Mar 2025 → Jun 2030 expected T lymphoblastic leukemia/lymphoma, childhood acute lymphoblastic leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 2/3 NCT05805098 Mar 2023 → Mar 2025 overdue acute myeloid leukemia The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
Phase 2/3 NCT01417767 Sep 2011 → Sep 2013 myelodysplastic syndrome Xiao Li Unknown No outcome recorded
Phase 38 trials
Phase 3 NCT07469046 Apr 2026 → Mar 2028 expected acute myeloid leukemia Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine Not yet recruiting No outcome recorded
Phase 3 NCT06810791 Jan 2025 → Jun 2026 overdue acute myeloid leukemia Nanfang Hospital, Southern Medical University Recruiting No outcome recorded
Phase 3 NCT06361329 Apr 2024 → Mar 2026 overdue early T cell progenitor acute lymphoblastic leukemia First Affiliated Hospital of Zhejiang University Recruiting No outcome recorded
Phase 3 NCT05457361 Mar → Dec 2022 Nanfang Hospital, Southern Medical University Unknown No outcome recorded
Phase 3 NCT04083911 Apr 2019 → May 2021 acute myeloid leukemia The First Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 3 NCT04087967 Apr 2019 → May 2021 acute myeloid leukemia The First Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 3 NCT04446130 Jan 2019 → Jan 2023 T lymphoblastic leukemia/lymphoma, T-cell acute lymphoblastic leukemia, mixed phenotype acute leukemia,T/myeloid The First Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 3 NCT00004933 Jan 2000 → May 2001 leukemia Alliance for Clinical Trials in Oncology Terminated No outcome recorded
Phase 41 trial
Phase 4 NCT03873311 Sep 2019 → Dec 2022 myeloid leukemia Shenzhen Second People's Hospital Unknown No outcome recorded
Phase not applicable5 trials
NCT06529250 Aug 2024 → Aug 2026 overdue acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
NCT05941585 Aug 2023 → Jan 2025 acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Completed No outcome recorded
NCT05805072 May 2023 → Jun 2024 acute myeloid leukemia The First Affiliated Hospital of Soochow University Unknown No outcome recorded
NCT06328179 May 2022 → Dec 2027 expected acute myeloid leukemia Huai'an First People's Hospital Recruiting No outcome recorded
NCT04505995 Jan 2020 → Jan 2023 juvenile myelomonocytic leukemia Air Force Military Medical University, China Unknown No outcome recorded
Also used as a comparator or background therapy in 7 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 23 trials
Phase 2 NCT07437170 Background Jan 2024 → Dec 2027 expected childhood acute myeloid leukemia The Children's Hospital of Zhejiang University School of Medicine Active not recruiting No outcome recorded
Phase 2 NCT05029141 Background Sep 2021 → Dec 2026 expected acute myeloid leukemia The First Affiliated Hospital of Soochow University Active not recruiting No outcome recorded
Phase 2 NCT04126681 Comparator Oct 2019 → Aug 2024 chronic myeloid leukemia Ascentage Pharma Group Inc. Completed No outcome recorded
Phase 34 trials
Phase 3 NCT05726110 Background Jan 2023 → Dec 2024 overdue acute myeloid leukemia Shanxi Bethune Hospital Recruiting No outcome recorded
Phase 3 NCT04722952 Background May 2021 → Jan 2023 acute myeloid leukemia The First Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 3 NCT04716114 Comparator Mar 2021 → Dec 2025 acute myeloid leukemia CSPC ZhongQi Pharmaceutical Technology Co., Ltd. Unknown No outcome recorded
Phase 3 NCT03978364 Comparator Jun 2019 → Jun 2022 acute myeloid leukemia Shandong Provincial Hospital Unknown No outcome recorded

Press releases naming this drug 3 releases

DateIssuerRelease
2014-05-05 Teva Branded Pharmaceutical Products R&D, Inc. FDA Approves Teva’s SYNRIBO® (Omacetaxine Mepesuccinate) for Injection for Home Administration tevapharm.com
2014-02-13 Teva Branded Pharmaceutical Products R&D, Inc. Teva Announces Full FDA Approval of SYNRIBO® (Omacetaxine Mepesuccinate) for Injection tevapharm.com
2012-10-26 Teva Branded Pharmaceutical Products R&D, Inc. Teva Receives Approval For SYNRIBOTM (Omacetaxine Mepesuccinate) for Injection tevapharm.com

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as Homoharringtonine “A Single-arm, Single-center Clinical Trial Evaluating the Efficacy and Safety of a Regimen Combining Chidamide With Venetoclax, Azacitidine, and Homoharringtonine in the...” NCT07643636
53

“A Phase Ib Study of the Safety, Pharmacokinetic of Lisaftoclax (APG-2575) Single Agent and in Combination With Homoharringtonine or Azacitidine in Patients With Relapsed/Refractory AML” NCT04501120

“An Randomized Controlled Study of Azacitidine Combined With Homoharringtonine Compared With Azacitidine for Patients With Int/High -Risk MDS and AML-MRC” NCT03978364

Homoharringtonine (HHT) is an alkaloid and has been used in Chinese patients with acute and chronic myeloid leukemia for more than 30 years.” NCT04824924

“Efficacy and Safety of Lisafotoclax Plus Decitabine and Homoharringtonine in Venetoclax/Azacitidine Pretreated AML Patients” NCT07505160

“cytarabine (25mg/d, days1-14) and homoharringtonine (1mg/d, days1-14) by intravenous continuous infusion” NCT01417767

“Since Homoharringtonine (HHT) could downregulate MCL-1 and BCL-XL in leukemia cells” NCT04424147

Homoharringtonine (HHT) is given by venous drip daily at 1 mg/m2 from day 1 to 7.” NCT06810791

Homoharringtonine : 1mg/m2 per day by intravenous infusion from Day 1 to Day 7.” NCT07517510

Homoharringtonine (HHT) is widely used for the treatment of myeloid leukemia.” NCT06328179

Homoharringtonine injection (HHT) 2-3mg d1 to d14 was intravenously injected.” NCT05584761

Homoharringtonine(HHT) 2mg/(m2.d) by IV on days 1-6 of every cycle” NCT04722952

“Venetoclax, Azacitidine, and Homoharringtonine (VAH) Combination” NCT07091006

homoharringtonine, 1mg/m2 intravenously every day on days 3-16” NCT05029141

homoharringtonine (HHT), cytarabine and aclarubicin (HAA)” NCT04716114

Homoharringtonine:1mg/d, d4\~10, intravenous infusion” NCT06394011

Homoharringtonine:1mg/d,d3\~16,intravenous infusion” NCT04087967

Homoharringtonine 1 mg/m² IV daily on Days 1-5” NCT07172204

Homoharringtonine(HHT) 1mg/(m2.d) for 14 days” NCT03873311

“daunorubicin,cytarabine,homoharringtonineNCT04415008

Homoharringtonine: 2mg/㎡/d, days 1-7” NCT06529250

Homoharringtonine 1mg/m2 iv qd d1-14” NCT06470841

Homoharringtonine (HHT) 2mg/m²/d” NCT07437170

homoharringtonine 2mg IV d10-14” NCT03453255

Homoharringtonine :1mg/d,d3” NCT04446130

HomoharringtonineNCT06529250

NCT00030355

NCT04083911

NCT05805072

NCT06834321

NCT00004933

NCT06221683

NCT06361329

NCT07516704

NCT07651163

NCT00114959

NCT07651176

NCT05941585

NCT04505995

NCT07469046

NCT07159906

NCT06483906

NCT06744556

NCT06855810

NCT05457361

NCT05513131

NCT04126681

NCT06742463

NCT05805098

NCT05726110

NCT05906914

NCT07507825

NCT04248595

NCT07163910

Known as HHT “In luminal cells, EIF1A knockdown and the translation inhibitor homoharringtonine (HHT) both suppress HIF-1α translation and tumor growth, while promoting infiltration of...” PMID 41707646 Feb 2026
15

“Homoharringtonine (HHT), a plant alkaloid with antitumor properties originally identified nearly 40 years ago, has a unique mechanism of action by preventing the initial...” NCT05513131

“Homoharringtonine (HHT) is currently the only small-molecule translation elongation inhibitor approved by the U.S. Food and Drug Administration (FDA).” NCT07516704

“Our preliminary research confirmed that homoharringtonine (HHT) significantly enhances the anti-leukemia effect of Ven/AZA via inhibition of MCL-1.” NCT07517510

“Homoharringtonine (HHT) is an alkaloid and has been used in Chinese patients with acute and chronic myeloid leukemia for more than 30 years.” NCT04824924

“The induction therapy is a combination of Venetoclax(Ven), Homoharringtonine(HHT) , Cytarabine and G-CSF.” NCT06742463

“Since Homoharringtonine (HHT) could downregulate MCL-1 and BCL-XL in leukemia cells” NCT04424147

“Homoharringtonine (HHT) is given by venous drip daily at 1 mg/m2 from day 1 to 7.” NCT06810791

“Homoharringtonine injection (HHT) 2-3mg d1 to d14 was intravenously injected.” NCT05584761

“Homoharringtonine (HHT) is widely used for the treatment of myeloid leukemia.” NCT06328179

“randomized doses of homoharringtonine (HHT) during early intensification” NCT06855810

“Homoharringtonine(HHT) 2mg/(m2.d) by IV on days 1-6 of every cycle” NCT04722952

“Homoharringtonine (HHT): 1 mg/m² intravenously on Days 1-7.” NCT07469046

“Homoharringtonine(HHT) 1mg/(m2.d) for 14 days” NCT03873311

“Homoharringtonine (HHT) 2mg/m²/d” NCT07437170

“homoharringtonine (HHT)” NCT04716114

Known as HHT, Omacetaxine mepesuccinate HHT, Omacetaxine mepesuccinateNCT04248595
Known as omacetaxine Omacetaxine mepesuccinate (omacetaxine) is a first-in-class cephalotaxine” PMID 23468307 Mar 2013
1

“Participants are administered homoharringtonine (omacetaxine)” NCT00114959

Known as omacetaxine mepesuccinate “homoharringtonine (omacetaxine mepesuccinate)” PMID 35274287 Mar 2022
12

NCT03135054

NCT00002574

NCT02078960

NCT04874194

NCT00003694

NCT02029417

NCT00375219

NCT01844869

NCT00006364

NCT00003239

NCT03170895

NCT00462943

Action Inhibit “As a protein synthesis inhibitor” NCT04248595
Modality Small molecule “The homoharringtonie (HHT) is a plant cytotoxic alkaloid derived from the trees of the genus Cephalotaxus.” NCT04248595
Route Intravenous “Given IV” NCT00003694
Target MCL1 “through reduction of MCL1 and BCL-XL” PMID 40979071 Jul 2025